1652 Beach Ave 2015 Roof It SS\ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROOF-201
Job Type: ROOF PERMIT
Description: REROOF FL 5444.1
Estimated Value: $9,340.00
Issue Date: 1/26/2015
Expiration Date: 7/25/2015
PROPERTY ADDRESS:
Address: 1652 BEACH AVE
RE Number: 169573-0000
PROPERTY OWNER:
Name: JOHNSON, GORDON J
Address: 1652 BEACH AVE
FEES:
BUILDING PERMIT FEE $96.70
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $100.70
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
State of County of Tax Folio No.
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved:
Address of property being improved:,//
1%,e44
General description of improvements- 4e1:-- A11/1
Owner: Address:
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor:
Address: T4 ,
Telephone No.: Fax No:
Surety(if any)-
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the im Doc#2015018131,OR BK 17044 Page 1=77,
Number Pages:1
Name: Recorded 01/26/2015 at 01:00 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
Address: COUNTY
Phone No: Fax No: RECORDING$10.00
Name of person within the State of orida,other than himself,'designated L.
served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor'.s Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No: ss a different date is
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unle
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNERn
Signed: Date:
Before me is d f i the County of Duval,State
Of Florida,has personally appe
Personally Known: Or
Produced Identifi tion:
Notary Public: C4�
My commission expires: -CA L-��
commission#FF 124676
Expires September 1,2018
Bonded Thfu Troy Fain Insunum 800 185-7019
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: Permit Number:
Legal Description Floor Area ot -9,q.Ft. Parcel Sq.Ft
Valuation of Work��_Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure s circle one): Commercial CResiLnti)
s
s;i Ps No N/A
If an existing structure,is a fire s rin er system installed? (Circle one):
Florida Product Approval# __5 -
For multiple products use pro net approva orm
Describe in detail the type of work to be performed: wtz�
PrMerbWwner Information:
Name: Address:
city —Zip—Phone —7
E-Mail or Fax#(Optional .2
Contractor Information: 4
CONTRAC R EMAIL DRESS:&Zf_0�04�
I gent: 6- jV1
Company Nami�: 41, /%016�cQualifying A
:�,L I f V (�/ —city State_/Z Zip
Address.21 A - Job act Number Fax
Office Phone
State Ceitification/Registration# U-4
Architect Name&Phone#
Engineer's Name&Phone 4
Fee Simple Title Holder Narne and Address
'I ss
Bonding Company Name and Address
I
Mortgage Lender Name and Address
4pplication is hereby made to obtain apermit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be pe�jbrmed to meet the standards,of all laws regulating construction in this jurisdiction. This permit becomes null
)months, or if construction or work is suspended or abandonedfor eriod of six(6)months at any time after
and void 7f'work is not commenced within six(6 V,
-1c, Plunibing,Signs, ells,Pools,Furnaces,Boilers,Heaters,
work is commenced. I understand that separate permits must be securedfor Electricar Wol
Tanks andAir Con(litioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
-TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I ere certify that I have read and examined this application and know the same to be true and correct. Allprovisions of laws and ordinances governing this
The granting of a permit d=jl t to give authority to violate or cancel the
t
y
P,�7
work will be complied with whether specified herein or not.
provisions ofany otherfederal, te, or local law regulating construction or the pe�formance of
Signature of Owpn fto Signature of Contra r
��JA /... ... .................. .............V... . . .....................-
Print'� . ............ 5 1-K Print Name ......... .................................
............................................................
.........................
Before me I---- Beforq ww 20
this Day of 20 I -S this /L� Day of
E
RPRFMA,L IONES mi sion
Notai',y-Public U 4. Commission#FF 124676 te 1,2018
pir Se
xplr
Expires September 1,2018 NO-365-7019
B"AW Nu Troy Fain Insw"
evised 01.26.10
8wded Th.Tmy Fain InwamoW0,185-7019